As an aspiring manager you are tasked with creating a report which covers the following topics:
1. Discuss and assess the importance of accounting and finance functions in the operations of a healthcare organization, either in the public or private sector.
2. Within academic literature it is said that the primary objective of a company is maximize the owner’s wealth. Critically discuss why a healthcare organisation is unlikely to pursue a strategy of Shareholder Wealth Maximization.
(note: if your organisations is government owned/funded, they are effectively the majority shareholder)
3. KSA Sovereign Fund is looking to take on a new investment offering private healthcare treatments. The company will evaluate two mutually exclusive projects, whose details are given below. The company’s cost of capital is 9%.

3b. Critically discuss the merits of each investment appraisal method, then discuss the result of the evaluations you have made of the two projects and advise the company which project should be undertaken
4. Critically evaluate the use of a Balanced Scorecard in your organisations (or a previous organisations you have worked in)
5. Riyad Hospital Trust is considering an investment into Hospital Information System; it has two choices via leasing or buying the software and equipment.
The purchase price is SAR 1,275,000 and the machine has a 6-year life. If it buys the software Riyad Hospital Trust will need to fund it using capital that costs them 6% per year. Riyad HT estimates maintenance of the system will be SAR 30,000 per annum. Alternatively, the lease payments will be SAR 220,000 per year for 6 years with rentals payable at the start of each year.
This assessment required students to develop a comprehensive management report focused on key accounting and finance functions within the healthcare sector, integrating both theoretical knowledge and practical financial analysis. The assessment was divided into five major components:
Role of Accounting and Finance in Healthcare:
Students needed to explain and evaluate the significance of financial and accounting operations in supporting healthcare management, budgeting, and sustainability.
Wealth Maximization vs. Healthcare Objectives:
Learners were to critically assess why healthcare organizations, especially public or government-funded ones, do not typically pursue a shareholder wealth maximization strategy.
Investment Appraisal Techniques:
The task involved financial evaluation of two mutually exclusive projects through Payback Period, Net Present Value (NPV), and Internal Rate of Return (IRR) calculations, followed by a critical discussion of each method’s strengths and limitations.
Balanced Scorecard Application:
Students were to design and analyze a Balanced Scorecard framework for their organization, identifying key strategic goals, developing measurable KPIs under four perspectives Financial, Customer, Internal Process, and Learning & Growth and evaluating associated risks and challenges.
Financing and Leasing Decisions:
The final section required computation of present value costs for both leasing and purchasing options for hospital information systems, followed by theoretical discussion on the cost of capital and critical analysis of debt vs. equity financing strategies.
Together, these sections tested the student’s ability to integrate financial management principles, strategic planning, and decision-making frameworks within a healthcare management context.
The Academic Mentor guided the student through a structured approach to complete the assessment effectively and align with academic expectations:
The mentor first helped the student interpret each question carefully, breaking down complex instructions into manageable parts. This ensured clarity on what each section required analytical discussion, numerical computation, or critical evaluation.
The mentor emphasized reviewing scholarly sources on the importance of accounting and finance in healthcare, highlighting budgeting, cost control, and resource allocation. The student was guided to support explanations with real-world healthcare management examples and relevant journal references.
The mentor directed the student to contrast profit-driven corporate models with public welfare-driven healthcare objectives, ensuring a critical understanding of why healthcare entities prioritize patient care and service quality over shareholder returns.
In this technical section, the mentor guided the student through the financial computations for Payback Period, NPV, and IRR, ensuring accuracy through step-by-step demonstrations. The mentor then supported the student in discussing how each appraisal method impacts decision-making and which project offers the best strategic value for the investor.
The mentor assisted the student in designing a Balanced Scorecard model aligned with the organization’s strategic vision. Guidance was provided on selecting realistic KPIs, linking them to strategic outcomes, and evaluating the implementation risks of achieving performance goals.
The mentor guided the student through present value calculations for both leasing and purchasing options, followed by theoretical discussion of cost of capital components. A critical dialogue was developed on the misconception that “debt is always cheaper than equity,” promoting analytical reasoning supported by financial theory.
Through this structured mentorship, the student successfully:
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